JCC, LLC


Address: 2591 Miamisburg Centerville Rd Ste 102, Centerville, OH 45459-3706
Phone: 9374383384

JCC, LLC (NPI# 1144466293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144466293
Entity Type Organization
Organization Name JCC, LLC
Other Organization Name PDI DAYTON
Practice Address 2591 Miamisburg Centerville Rd Ste 102
Centerville
OH 45459-3706
Mailing Address 5192 Chillicothe Rd Ste 102
Chagrin Falls
OH 44022-4196
Practice Telephone 9374383384
Practice Fax Number 9374383394
Mailing Telephone 4403388959
Mailing Fax Number 4403385652
Enumeration Date 2008-12-19
Last Update Date 2009-11-19
Authorized Official Name MR. JACK C CORNELL SR. (PRESIDENT)
Authorized Official Telephone 4403388959
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
PDI DAYTON Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1669850004 Jcc, LLC Dentist 1150 Monteith Avenue, Suite 102, Hernando, MS 38632 2015-05-18
1144704891 Jcc, LLC Clinic/Center 1010 Woodman Dr, Dayton, OH 45432-1400 2018-09-19
1821338336 Jcc, LLC Clinic/Center 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 2013-02-20

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities JCC, LLC 201 14th Street, Suite 200, Glenwood Springs, CO 81601

Office Location

Street Address 2591 MIAMISBURG CENTERVILLE RD STE 102
City CENTERVILLE
State OH
Zip Code 45459-3706

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659917466 Sarai Burke Robinson Occupational Therapist 2200 Miami Valley Rd, Dayton, OH 45459 2019-11-27
1689179855 Paragon Infusion Therapy, LLC Durable Medical Equipment & Medical Supplies 1746 Thomas Paine Pkwy, Centerville, OH 45459 2018-03-28
1922555473 Hannah Gualtieri Specialist/Technologist Miami Valley Drive, Suite 320, Centerville, OH 45459 2016-09-01
1326410028 Kathleen E Dorsten Counselor 37 Irongate Park Dr, Centerville, OH 45459 2015-10-21
1184000846 Valeriya Falkenshtern Specialist/Technologist 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 2015-08-05
1700169331 Monica Lynn Carrico Registered Nurse 7625 Paragon Road Suite C, Dayton, OH 45459 2011-09-20
1427360080 Tonia S Campbell Physical Therapist 1235 E. Alex Bell Road, Centerville, OH 45459 2010-07-11
1265768956 Health At Home, LLC Home Health 6443 Bethany Village Drive, Dayton, OH 45459 2009-10-30
1881826337 Annetta Jean Davis Social Worker 7950 Clyo Road, Centerville, OH 45459 2009-08-18
1740459783 Ryan A Long Dentist 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 2008-02-25
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Taxonomy Information

Taxonomy Code 261QM1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Magnetic Resonance Imaging (MRI)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1982107975 Van Wert Medical Services, Ltd. Clinic/Center 214 Towne Center Blvd, Van Wert, OH 45891 2018-03-15
1770099798 Mri Solutions Clinic/Center 4424 Aicholtz Rd Ste D, Cincinnati, OH 45245-1530 2017-12-28
1578697181 Med Tel International Corporation Clinic/Center 250 Executive Dr, #c, Marion, OH 43302-6284 2007-03-15
1548352818 Radiology Specialists Ltd. LLC Clinic/Center 4161 Bridgewater Parkway, Stow, OH 44224 2006-09-28
1194733246 Woodland Diagnostic Imaging LLC Clinic/Center 5005 Whipple Ave Nw, Canton, OH 44718 2006-08-04
1922022698 Open Access Mri, LLC Clinic/Center 109 S Fayette St, Fayette, OH 43521-9411 2006-07-27
1225061526 Vanguard Imaging Partners, LLC Clinic/Center 2619 Commons Blvd, Beavercreek, OH 45431-3817 2006-07-09
1194753640 World Class Medical Imaging Clinic/Center 1735 West Main Street, Troy, OH 45373-2301 2006-06-30
1063468460 North Coast Imaging, LLC Clinic/Center 1303 W State St, Fremont, OH 43420-2016 2006-05-26
1245208016 Imaging Central, L.L.C. Clinic/Center 7111 W Central Ave, Toledo, OH 43617-1116 2006-03-09
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Competitor

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City CENTERVILLE
Zip Code 45459

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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